| Ho-chunk Behavioral Health Care Ctr - La Crosse | |
|
724 Main St La Crosse WI 54601-4121 | |
| (608) 784-3083 | |
| (608) 784-4245 |
| Full Name | Ho-chunk Behavioral Health Care Ctr - La Crosse |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 724 Main St, La Crosse, Wisconsin |
| Authorized Official Name and Position | Liz M Lund (PROVIDER NETWORK MANAGER) |
| Authorized Official Contact | 7152849851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ho-chunk Behavioral Health Care Ctr - La Crosse N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 Ph: (715) 284-9851 | Ho-chunk Behavioral Health Care Ctr - La Crosse 724 Main St La Crosse WI 54601-4121 Ph: (608) 784-3083 |
| NPI Number | 1518276294 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518276294 | NPI | - | NPPES |
| 1413 | Other | WI | STATE CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1413 (Wisconsin) | Primary |
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